Dental
Middlebury Dental Group
Middlebury Dental Group was paid $3K by Medicaid between Oct 2018 and Apr 2023, across 3 billing codes. Its largest line is D0120, dental checkup, returning patient — 52% of everything it billed.
33Billing provider infoMIDDLEBURY DENTAL GROUP
MIDDLEBURY, VT 05753
MIDDLEBURY, VT 05753
33aNPI1851404271assigned 08/17/2006
33bProvider typeEndodontist
28Total paid$3K
24GClaims136
24DCodes billed3
24AFirst – last monthOct 2018 – Apr 2023
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 58 | $1K | |
| 2019 | 33 | $566.00 | |
| 2020 | 14 | $350.00 | |
| 2021 | 15 | $350.00 | |
| 2023 | 16 | $270.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 52% | 67 | 57 | $1K |
| D1206 | Topical application of fluoride varnish | 27% | 51 | 39 | $738.00 |
| D1110 | Prophylaxis - adult | 21% | 18 | 13 | $564.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialMONTGOMERY, KIM (OWNER/DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Botetourt Counseling Center INC | Blue Ridge, VA | $404K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.